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General NPI Number Information
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NPI Number | 1437309424
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Entity Type | Organization
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Legal Business Name | DAVIS CONSULTANTS, PC
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Dates
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Enumeration Date | 09/25/2008
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Last Update Date | 09/24/2011
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Provider Practice Location Address
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Address Line | 300 W BROADWAY ST
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City | MISSOULA
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State | MT
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Zip | 59802-4126
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Country | US
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Telephone | 406-899-0522
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Fax | 406-543-1290
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Provider Business Mailing Address
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Address Line | PO BOX 9433
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City | MISSOULA
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State | MT
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Zip | 59807-9433
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Country | US
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Telephone | 406-899-0522
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Fax | 406-543-1290
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | PATRICK J DAVIS
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Credential | PH.D.
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Telephone | 406-899-0522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 236
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License Number State | MT
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